<table border="0" cellspacing="5" cellpadding="5">
                 <thead>
                     <tr>
                         <th colspan="2">&nbsp;</th>
                         <th></th>
                     </tr>
                 </thead>
                 <tbody>
                     <tr>
             <td colspan="2">
                 <form name="form1" method="POST" action="<?php echo $_SERVER['PHP_SELF']; ?>" enctype="multipart/form-data">
             <div>
                 <fieldset>
                  <legend>datum</legend>
                  <p>van:<input type = "date" required = "required" name="date_van" value="" /> </p>
                  <p>tot:<input type = "date" required = "required" name="date_tot" value="" /> </p>
                   <p>aantal dagen:<input type = "number" min ="1" max ="20" required = "required" name="aantal_dag" value="" /> </p>
                 </fieldset>
            
             </div>
                <div>
                 <fieldset>
                  <legend>klant</legend>
                  <p>bedrijfsnaam:<input type = "text" name="bedrijfsnaam" value="" placeholder="limelight bv."/> </p>
                  <p>contactnaam:<input type = "date" required = "required" name="contactnaam" value="" placeholder="John Ratzenberger" /> </p>
                   <p>straat/nr:<input type = "text"  required = "required" name="straat" value="" placeholder="amstelweg 12" /> </p>
                   <p>postcode:<input type = "text"  required = "required" name="postcode" value="" placeholder="1200 AK" /> </p>
                   <p>plaats:<input type = "text"  required = "required" name="plaats" value=""  placeholder="Amsterdam" /> </p>
                   <p>tel nr:<input type = "tel"  required = "required" name="tel" value=""  placeholder="06 33 333 333" /> </p>
                   <p>email:<input type = "email"  required = "required" name="email" value="" placeholder="john@example.nl" /> </p>
                 </fieldset>
            
             </div> 
             <div>
                 <fieldset>
                  <legend>event loactie</legend>
                  <p>naam:<input type = "date" required = "required" name="contactnaam2" value="" placeholder="John Ratzenberger" /> </p>
                   <p>straat/nr:<input type = "text"  required = "required" name="straat2" value="" placeholder="amstelweg 12" /> </p>
                   <p>postcode:<input type = "text"  required = "required" name="postcode2" value="" placeholder="1200 AK" /> </p>
                   <p>plaats:<input type = "text"  required = "required" name="plaats2" value=""  placeholder="Amsterdam" /> </p>
                   <p>tel nr:<input type = "tel"  required = "required" name="tel2" value=""  placeholder="06 33 333 333" /> </p>
                   <p>naam contactpersoon lokatie: <input type = "text"  required = "required" name="naam_cont_loc" value="" placeholder="John van doorn" /> </p>
                 </fieldset>
            
             </div>

                 
                 
                 
                 
                 </form>
              </td>
              
                     </tr>
                     
                 </tbody>
             </table>
